Graeme Clark Collection
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ItemPsychophysical matching of sensations produced by acoustic and electrical stimulation of the auditory nerve [Abstract](Monash University Press, 1983)The aim of this study was to establish an acoustic model of a multiple-channel cochlear implant that could be used in the development of speech coding strategies. Identical psychophysical tests were carried out with electrical stimuli for two cochlear implant patients and with acoustic stimuli for three normally hearing listeners. Each electrical stimulus was a train of biphasic pulses at a constant rate between 50 and 100 pps directed to one of the 10 electrodes spaced at 1.5mm intervals around the basal turn of the cochlea (Clark et al. 1977). The corresponding acoustic stimulus was a train of noise bursts at a rate equal to the electrical pulse rate. The noise bursts were passed through one of 8 bandpass filters with centre frequencies equally spaced on a logarithmic scale from 1140 to 10880 Hz representing 8 different electrodes.
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ItemClinical results for profoundly deaf patients using the 22-elctrode cochlear prosthesis [Abstract]( 1987)The 22-electrode cochlear prosthesis developed in Australia by the University of Melbourne and Cochlear Pty. Limited has been in clinical use in Melbourne for five years. Results for 40 postlingually deaf adults have shown significant communication benefit for 90% of patients. Twenty patients (50%) have demonstrated the ability to understand conversational speech without lipreading or visual cues. No electronic or mechanical failures have been observed in any of the implanted devices. There have been no serious medical complications, but psychological disturbance has occurred in two cases. Experience with prelingually deaf adults has indicated that initial hearing responses for this group are not as good as for the postlingually deaf patients. However, improvement over time has been evident with consistent use of the device. Long-term benefit for these patients will depend to a large extent on motivational and social factors. Results for a small number of young deaf children have been encouraging. The age at onset of profound deafness, intelligence, educational management and family support are all important factors affecting the potential benefit of a cochlear implant for a child.
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ItemResults for the Nucleus multiple-electrode cochlear implant in two children [Abstract]( 1988)Two males, 9 years 10 months (CHILD 1) and 5 years 5 months (CHILD 2) at time of surgery, were implanted with the Nucleus multiple-electrode cochlear implant. Both patients were deafened as a result of meningitis in their third year. Assessments of speech perception, speech production and language skills were undertaken at regular intervals, pre and post operatively. For both patients in the audition alone condition, some speech perception post operative scores were significantly higher than pre operative scores and progressive improvements in scores over successive post operative data collection times were seen. Significant differences between the visual alone and auditory-visual condition scores were also observed for CHILD 1 post operatively. Speech production post operative scores were significantly higher than pre operative scores for both patients. The receptive vocabulary scores for both patients improved at a higher rate than that of age-matched normal children. The acquisition of expressive and receptive language skills for CHILD 2 was at a higher rate than that of age-matched children. Differences in the results between the two patients were seen, and this may be related to age and duration of deafness.
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ItemSingle versus multiple-channel electrical stimulation of the auditory nerve in speech processing for a totally deaf patient [Abstract]( 1982)Auditory neurophysiological studies have provided evidence that frequency is coded on both a place and time basis. Psychophysical studies on patients with a profound or total postlingual hearing loss have established that electrical stimulation of the auditory nerve can also convey pitch sensations that depend on toe place or site of auditory nerve stimulation. Pitch perception is also related to the rate of stimulation (Tong et al., 1980). The present study has been undertaken to determine whether a totally deaf patient can integrate both the place and time information from frequency coding in understanding speech signals. Audiological tests were performed to evaluate a totally deaf patient's perception of phonemes, words and sentences for single-channel stimulation that conveyed the fundamental frequency (FO) as rate of stimulation; and multiple-channel stimulation that presented the fundamental frequency as rate, and the second formant (F2) as place of stimulation. The results shown in the table indicate that multiplechannel stimulation provided significantly better scores than single-channel stimulation when using electrical stimulation alone. Furthermore, all scores were significantly better for multiple channel stimulation when combined with lip reading, except the MRT word test. This is an abstract of a paper from the Proceedings of the Australian Physiological and Pharmacological Society published by Australian Physiological and Pharmacological Society. This version is reproduced with the permission of the publisher.